Healthcare Provider Details

I. General information

NPI: 1508674714
Provider Name (Legal Business Name): DURABLE ORTHO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2024
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 W WELSH POOL RD STE 202 S
EXTON PA
19341-1233
US

IV. Provider business mailing address

104 WOODED EAGLE CT
EXTON PA
19341-3026
US

V. Phone/Fax

Practice location:
  • Phone: 610-680-2674
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SAJITA KALAKHETI
Title or Position: OWNER
Credential:
Phone: 610-680-2674